Individual
MANALI AMIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
100 COUNTY ROAD B, SHAWANO, WI 54166-7072
(715) 526-8270
Mailing address
3 NEENAH CTR, NEENAH, WI 54956-3070
(715) 526-8270
(715) 526-3461
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
251900
WI
363L00000X
Nurse Practitioner
Primary
11808
WI
Other
Enumeration date
03/10/2022
Last updated
04/28/2022
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